Coral Springs Animal Hospital's Pawfessional PAWfessional Summer 2017 | Page 22

Currently, ALT 230 U/L; [18-121U/L], AST 25 U/L; [16-55 U/L], ALP 380 U/L; [5-160 U/L] and GGT 25 U/L; [0-13 U/ L]. The thrombocytosis has persisted at 453 u/L; [148-448 K/uL]. Repeat abdominal ultrasounds did not show recurrence of hepatic disease. The splenic nodule has remained stable. Three view thoracic and abdominal radiographs were taken 5 months post operatively. They showed no signs of metastatic disease in the lungs and a moderately decreased hepatic volume. Gizmo is currently on Denamarin 31mg/kg PO q24h and Ursodiol 8.75 mg/kg POq12h. The owners declined further evaluation of the splenic nodule and chemotherapy. They are very happy with the outcome and thrilled to have been able to spend more time with Gizmo. References: Hammer AS, Sikkema DA. Hepatic neoplasia in the dog and cat. Veterinary Clinics of North America: Small Animal Practice 1995;25:419– 435. Liptak JM. Hepatobiliary tumors In: Withrow SJ, Vail DM, eds. Withrow & MacEwen’s Small Animal Clinical Oncology. St. Louis Missouri: Elsevier, 2013: 405-410. Patnaik AK, Hurvitz AI, Lieverman PH. Canine Hepatic Neoplasms: A Clinicopathologic Study. Veterinary Pahology 1980; 17:553-564. Kinsey JR, Gilson SD, Hauptman J, Mehler SJ, May LR. Factors associated with long-term survival in dogs undergoing liver lobectomy as treatment for liver tumors. Canadian Veterinary Journal 2015; 56: 598-604. Clifford CA, Pretorius ES, Weiss C, Sorenmo KU, Drobatz KJ, Siegelman ES, Solomon JA. Magnetic Resonance Imaging of Focal Splenic and Hepatic Lesions in the Dog. Journal of Veterinary Internal Medicine 2004;18:330-338 Kemp SD, Panciera DL, Larson MM, Sauders GK, Were SR. A Comparison of Hepatic Sonographic Features and Histopathologic Diagnosis in Canine Liver Disease: 138 Cases. Journal of Veterinary Internal Medicine 2013;27:806-813. Cohen M, Bohling MW, Wright JC, Welles EA, Spano JS. Evaluation of sensitivity and specificity of cytologic examination: 269 cases (1999-200). Journal of American Veterinary Association 2003; vol 222, No 7:964- 967.